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Blue Cross Rn Remote Jobs in Portland, OR (NOW HIRING)

Psychiatric Nurse Practitioner

Portland, OR · On-site +1

$140K - $163K/yr

Remote Schedule (Must be located in Oregon) ESSENTIAL FUNCTIONS Reasonable accommodations may be ... Current Registered Nursing licensure in Oregon and Washington. * Master of Science in Nursing (MSN ...

Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or ... remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade, you ...

Remote Sr. Data Engineer

Portland, OR · Remote

$112K - $152K/yr

... cross-functional teams to enhance our data capabilities. Key Responsibilities * Design and ... information, registered domestic partner status, marital status, status as a crime victim ...

Float connects nurses with patients so they can get treatments for their chronic conditions in the ... Flexibility, adaptability, and a collaborative spirit are essential, as you'll work cross ...

Recurring Care Specialist

Portland, OR · On-site +1

$48K - $50K/yr

Float connects nurses with patients so they can get treatments for their chronic conditions in the ... Flexibility, adaptability, and a collaborative spirit are essential, as you'll work cross ...

Recurring Care Specialist

Vancouver, WA · On-site +1

$48K - $50K/yr

Float connects nurses with patients so they can get treatments for their chronic conditions in the ... Flexibility, adaptability, and a collaborative spirit are essential, as you'll work cross ...

Float connects nurses with patients so they can get treatments for their chronic conditions in the ... Flexibility, adaptability, and a collaborative spirit are essential, as you'll work cross ...

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Blue Cross Rn Remote information

What are the key skills and qualifications needed to thrive as a Blue Cross RN Remote, and why are they important?

To excel as a Blue Cross RN Remote, you need an active RN license, clinical nursing experience (often in case management or utilization review), and strong assessment abilities. Familiarity with electronic medical record (EMR) systems, telehealth platforms, and case management software is typically required, along with certifications like CCM (Certified Case Manager) being advantageous. Exceptional communication, self-motivation, and organizational skills help nurses effectively support members and collaborate virtually with healthcare teams. These competencies ensure quality patient care, regulatory compliance, and efficient service delivery in a remote environment.

What is the difference between Blue Cross Rn Remote vs Blue Cross Lpn Remote?

AspectBlue Cross Rn RemoteBlue Cross Lpn Remote
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote healthcare support, patient assessmentsRemote patient care, basic clinical tasks
Employer & Industry UsageHealth insurance companies, healthcare providersHealth insurance companies, healthcare providers
Common Search & ComparisonYesYes

Blue Cross Rn Remote and Blue Cross Lpn Remote roles both serve in remote healthcare settings within insurance companies and healthcare providers. The main difference lies in the required credentials: RNs need a registered nurse license, while LPNs require a practical nurse license. RNs typically handle more complex patient assessments, whereas LPNs focus on basic patient care tasks. Both roles are essential in remote healthcare support, but they differ in scope and qualification requirements.

What is a Blue Cross RN Remote?

A Blue Cross RN Remote is a registered nurse who works remotely for Blue Cross Blue Shield, typically supporting members through telehealth, case management, care coordination, and health coaching. These nurses use phone, video calls, and digital platforms to assess patient needs, develop care plans, and provide education and support. Their role helps ensure that members receive high-quality care and guidance without needing in-person visits, making healthcare more accessible and convenient. Blue Cross RNs working remotely may also assist with pre-authorization, utilization management, or disease management programs.

How does a remote Blue Cross RN typically communicate and coordinate care with interdisciplinary team members?

As a remote Blue Cross RN, effective communication with physicians, case managers, social workers, and other healthcare professionals is essential. Most coordination occurs via secure digital platforms, video calls, and phone conferences, allowing for timely updates on patient progress and care plans. Regular virtual meetings and documentation in shared electronic health records ensure seamless teamwork and continuity of care. Building strong digital communication skills and being proactive about follow-ups are key to success in this remote setting.
What are popular job titles related to Blue Cross Rn Remote jobs in Portland, OR? For Blue Cross Rn Remote jobs in Portland, OR, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Portland, OR look for? The top searched job categories for Blue Cross Rn Remote jobs in Portland, OR are:
Certified Coder -Radiation Oncology for Central Admin in NE Portland

Certified Coder -Radiation Oncology for Central Admin in NE Portland

The Oregon Clinic

Portland, OR • On-site, Remote

$33.89 - $45.85/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 4 days ago


The Oregon Clinic rating

8.5

Company rating: 8.5 out of 10

Based on 15 frontline employees who took The Breakroom Quiz


Job description

Make an Impact at The Oregon Clinic! Premium Benefits, Competitive Pay, and Inspiring Purpose

Join us at The Oregon Clinic as a full-time Certified Coder -Radiation Oncology (Hybrid/Remote). Work alongside a collaborative team of patient-focused colleagues in our thriving Central Administration office.

Every person at TOC makes a difference in our mission of delivering world-class care with kindness and empathy. As a member of our team, you have the opportunity to make a valuable impact within the local community and our ecosystem of care. By providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you’ll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs.

Using excellent customer service and communications skills, your primary duties in this role include:

  • Responsible for ensuring that all procedural and diagnostic codes used by TOC comply with all application rules, laws and healthcare industry standards as well as coding to maximize reimbursement within the legal and ethical constraints.
  • Assigns accurate CPT, ICD-10, and modifier codes to physician services ensuring appropriate and accurate billing. 
  • Meets productivity benchmarks as defined by management and supported by performance metrics. Maintains a minimum of 95% coding accuracy.
  • Reviews coding as requested and provides corrections and feedback to the requestor.
  • Other duties as assigned.

Salary: Hiring range, based on experience and credentials:

  • Level I: $28.01-$37.89 per hour.
  • Level II: $30.81- $41.68 per hour.
  • Level III: $33.89-$45.85 per hour.

Workdays: This role is based at the Central Administration office. Hybrid/Remote work is available once training is completed and expectations are met. Typical hours are Monday-Friday (Flexible workday hours between 6:00 am-8:00 pm).

Qualifications that support success in this role are based on education, experience and values including:

  • Minimum of two (2) years of experience in coding for healthcare Radiation Oncology, with Gamma Knife coding is strongly preferred. Experience with coding in other multispecialty healthcare settings is a plus!
  • Current Coding Certification from the American Academy of Professional Coders (AAPC) or from any accredited body that credentials professional coders is required.   
  • Participates in continuing education units every 2 years for verification and authentication of expertise.
  • Prior Electronic Medical Record (EMR) EPIC experience is strongly preferred.  
  • Knowledge of CPT procedure and ICD-10 coding, basic principles of A/R management, denials, and overall billing functions in a medical clinic setting.
  • Knowledge of overall healthcare payment system (FFS, PPOS, HMOs, capitation, etc.) and local players (Regence Blue Cross, Providence Health Plans, etc.).
  • Demonstrated ability to initiate, work independently, and effectively multitask.
  • Excellent attendance and work ethic.
  • Positive attitude and desire to be a team player.
  • Ability to communicate professionally and effectively with patients, physicians, and other team members.
  • A commitment to patient-focused care, privacy, and safety.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. 

Make an impact in patient-focused healthcare. Look forward to coming to work and feel good about the work you do - apply today!

Premium Benefits: 

  • Healthcare: Employee is 100% covered Medical, Dental, and Prescription Insurance
  • Financial Wellbeing: Generous 401(k) plan and Flexible Spending Account options
  • Work-Life Balance: Paid Time Off plus 9 paid holidays annually
  • Wellness Support: Robust wellness program and employee assistance services
  • Commuter Benefits: 70% of Tri-Met transit pass covered
  • Additional Perks: Employee discounts and optional benefits like Pet Insurance

Patients and peers recognize The Oregon Clinic as a top regional healthcare provider and employer. We are:

  • Guided by our values of dedicating to excellence, compassionate and joyful connection, inclusive collaboration, listening humbly, and leading with integrity.
  • The largest physician-owned, multi-specialty medical and surgical practice in Oregon with a team of 1,500 team members across 30 specialties and our business office.
  • Dedicated to providing the highest value care tailored to the needs of each unique patient.
  • Proud to be consistently ranked by our employees as a Top 10 Workplace by The Oregonian.

Our Commitments: 

  • Diversity, Equity, & Inclusion: We are more than an Equal Opportunity Employer. We welcome and embrace differences and a diversity of backgrounds. Our goal is for patients, physicians, and team members to see and feel diversity, equity, safety, and inclusion in all aspects of their interactions with TOC clinics and administration.
  • A safe workplace: We are an alcohol and drug-free workplace for the safety of our patients and employees. Offers are contingent on successful completion of drug and background screening.

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